Kinney, Judith M.
Kinney, Judith M. is an sole proprietor health care provider with primary practice located at 20 Crossroads Dr Ste 104 , Owings Mills MD 21117-5480. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Kinney, Judith M. can be contacted via phone (410) 371-5092.Contact Information
Primary practice address
20 Crossroads Dr Ste 104
Owings Mills MD 21117-5480
Phone: (410) 371-5092
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 03359 | Maryland |
Profile Details
| NPI number | 1740396456 |
|---|---|
| LBN Legal business name | Kinney, Judith M. |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Oct 10th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740396456 | NPPES |
| Maryland | MEDICAID | 254810100 |
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